{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T00:10:08Z","timestamp":1740010208220,"version":"3.37.3"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study aimed to evaluate the advantages and disadvantages\n                        of early versus delayed single-stage surgery in patients with hand enchondromas\n                        who developed pathological fractures, focusing on local tumor control and hand\n                        function, to determine the optimal timing for surgery. Delayed surgical\n                        curettage may offer advantages regarding both local tumor control and hand\n                        function outcomes.<\/jats:p><jats:p>Thirty-five patients who developed pathological\n                        fractures due to solitary hand enchondromas and underwent surgical treatment\n                        between 2015 and 2021 were analysed. Patients were divided into two groups based\n                        on the timing of surgery. Patients who underwent surgical treatment immediately\n                        after a pathological fracture were assigned to the early-surgery group, and\n                        those who underwent surgical treatment after waiting for fracture union were\n                        assigned to the late-surgery group. Demographic data, lesion characteristics,\n                        and fixation methods were analysed. Parameters affecting outcome measurements\n                        were analysed, including visual pain scale, fracture healing time, recurrence,\n                        ROM, time to return to daily activities, and secondary surgical procedures.<\/jats:p><jats:p>The study included 35 patients, of whom 24 were female, with a\n                        median age of 33 years. Fifteen patients were included in the early-surgery\n                        group and 20 in the late-surgery group, with a follow-up period of 36.3 and 38.9\n                        months, respectively. The duration of surgery, time to fracture union, and total\n                        physical therapy duration during treatment were lower in the late-surgery group\n                        (p&lt;0.05). At the final follow-up, the mean loss of ROM was 17.6\u02da in the\n                        early-surgery group and 3.3\u02da in the late-surgery group (p=0.00). The rate of\n                        secondary surgery was higher in the early-surgery group (p=0.040).<\/jats:p><jats:p>In patients with hand enchondromas presenting with\n                        pathological fractures, early surgery resulted in higher complication rates,\n                        poorer functional outcomes, and an increased need for secondary surgeries.<\/jats:p>","DOI":"10.1055\/a-2471-7181","type":"journal-article","created":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T23:53:32Z","timestamp":1736380412000},"page":"50-56","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of the effect of early versus late surgical strategies on\n                    outcomes in patients with hand enchondromas complicated with pathological\n                    fractures"],"prefix":"10.1055","volume":"57","author":[{"given":"Erkan","family":"Akg\u00fcn","sequence":"additional","affiliation":[{"name":"Orthopaedics and Traumatology, University of Health Sciences Ankara\n                    Etlik City Hospital, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H\u00fcseyin Bilgehan","family":"\u00c7evik","sequence":"additional","affiliation":[{"name":"Orthopaedics and Traumatology, University of Health Sciences Ankara\n                    Etlik City Hospital, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,1,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"129","DOI":"10.5435\/00124635-200303000-00007","article-title":"Tumorlike lesions and benign tumors of the hand and wrist","volume":"11","author":"A M Plate","year":"2003","journal-title":"J Am Acad Orthop Surg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1186\/1471-2474-15-182","article-title":"Incidence, histopathologic analysis and distribution of tumours of the hand","volume":"15","author":"M J Simon","year":"2014","journal-title":"BMC Musculoskelet Disord"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1954","DOI":"10.1148\/rg.347130031","article-title":"Diagnostic imaging of benign and malignant osseous tumors of the fingers","volume":"34","author":"K Melamud","year":"2014","journal-title":"Radiographics"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1901","DOI":"10.1016\/j.jhsa.2010.08.015","article-title":"Benign bony and soft tissue tumors of the hand","volume":"35","author":"W T Payne","year":"2010","journal-title":"J Hand Surg Am"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.3390\/cancers13143558","article-title":"A Radiological Scoring System for Differentiation between Enchondroma and\n                    Chondrosarcoma","volume":"13","author":"S Miwa","year":"2021","journal-title":"Cancers (Basel)"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1054","DOI":"10.1007\/s003300000651","article-title":"Low-grade chondrosarcoma vs enchondroma: challenges in diagnosis and\n                    management","volume":"11","author":"X L Wang","year":"2001","journal-title":"Eur Radiol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"579","DOI":"10.1016\/j.hcl.2013.08.010","article-title":"Treatment of pathologic fractures","volume":"29","author":"S C Haase","year":"2013","journal-title":"Hand Clin"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1097\/SAP.0000000000002776","article-title":"Early Surgical Treatment of Both Tumor and Fracture in Patients With Enchondroma\n                    of the Hand Combined With Pathologic Fracture","volume":"87","author":"Q Li","year":"2021","journal-title":"Ann Plast Surg"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"625","DOI":"10.5435\/JAAOS-D-15-00452","article-title":"Enchondroma of the Hand: Evaluation and Management","volume":"24","author":"J D Lubahn","year":"2016","journal-title":"J Am Acad Orthop Surg"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1229","DOI":"10.1016\/j.jhsa.2012.03.019","article-title":"Enchondromas of the hand: factors affecting recurrence, healing, motion, and\n                    malignant transformation","volume":"37","author":"A A Sassoon","year":"2012","journal-title":"J Hand Surg Am"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"103153","DOI":"10.1016\/j.otsr.2021.103153","article-title":"Diagnosis and treatment of hand tumors","volume":"108","author":"C Lazerges","year":"2022","journal-title":"Orthop Traumatol Surg Res"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1016\/0266-7681_90_90013-t","article-title":"Is the treatment of enchondroma in the hand by simple curettage a rewarding\n                    method?","volume":"15","author":"P Tordai","year":"1990","journal-title":"J Hand Surg Br"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1016\/j.jhsb.2003.08.003","article-title":"Solitary enchondroma at the hand. Long-term follow-up study after operative\n                    treatment","volume":"29","author":"R Gaulke","year":"2004","journal-title":"J Hand Surg Br"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1142\/S0218810415300028","article-title":"Current management of hand enchondroma: a review","volume":"20","author":"C Tang","year":"2015","journal-title":"Hand Surg"},{"key":"ref15","first-page":"771","article-title":"Early versus delayed treatment of enchondroma","volume":"29","author":"R H Ablove","year":"2000","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"e6678","DOI":"10.1097\/MD.0000000000006678","article-title":"The management and surgical intervention timing of enchondromas: A 10-year\n                    experience","volume":"96","author":"X Zhou","year":"2017","journal-title":"Medicine 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Ogose","year":"1997","journal-title":"Cancer"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"403","DOI":"10.4236\/jct.2014.54046","article-title":"Chondrosarcoma of the Hand: A Literature Review","volume":"5","author":"D Stomeo","year":"2014","journal-title":"Journal of Cancer Therapy"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"562","DOI":"10.1302\/0301-620X.103B3.BJJ-2020-1337.R1","article-title":"Chondrosarcoma of the hands and feet","volume":"103-b","author":"G Kask","year":"2021","journal-title":"Bone Joint J"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1724","DOI":"10.1002\/(sici)1097-0142(19991101)86:9<1724::aid-cncr14>3.0.co;2-i","article-title":"Chondrosarcoma of the phalanx: a locally aggressive lesion with minimal\n                    metastatic potential: a report of 35 cases and a review of the literature","volume":"86","author":"J V Bov\u00e9e","year":"1999","journal-title":"Cancer"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1097\/01.blo.0000129164.91760.95","article-title":"Chondrosarcoma of the hand: is a wide surgical resection necessary?","volume":"424","author":"F Mittermayer","year":"2004","journal-title":"Clin Orthop Relat Res"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1016\/j.jhsa.2012.08.045","article-title":"An alternative technique for the management of phalangeal enchondromas with\n                    pathologic fractures","volume":"38","author":"S Y Lin","year":"2013","journal-title":"J Hand Surg Am"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"1757","DOI":"10.1016\/j.jhsa.2014.06.131","article-title":"Modified technique for one-stage treatment of proximal phalangeal enchondromas\n                    with pathologic fractures","volume":"39","author":"H Zheng","year":"2014","journal-title":"J Hand Surg 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\u00b7 Mikrochirurgie \u00b7 Plastische Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2471-7181.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,19]],"date-time":"2025-02-19T23:35:22Z","timestamp":1740008122000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2471-7181"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,8]]},"references-count":29,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2025,2,19]]},"published-print":{"date-parts":[[2025,2]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2471-7181","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0722-1819","1439-3980"],"issn-type":[{"type":"print","value":"0722-1819"},{"type":"electronic","value":"1439-3980"}],"subject":[],"published":{"date-parts":[[2025,1,8]]}}}